Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.41 / $617.41 / $2,545.60	Facility		$617.41	$617.41	$2,545.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $617.41 / $817.27	Professional		$617.41	$617.41	$817.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,666.19 / $2,226.08 / $4,146.81	Facility		$1,666.19	$2,226.08	$4,146.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.84 / $540.79 / $2,127.06	Professional		$60.84	$540.79	$2,127.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $822.11 / $2,454.19 / $3,905.00	Facility		$822.11	$2,454.19	$3,905.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,142.00 / $1,831.00 / $79,999.20	Facility		$1,142.00	$1,831.00	$79,999.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,637.29 / $2,184.35 / $4,100.25	Facility		$1,637.29	$2,184.35	$4,100.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,080.70 / $1,080.70 / $1,080.70	Professional		$1,080.70	$1,080.70	$1,080.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $361.37 / $361.37 / $500.00	Professional		$361.37	$361.37	$500.00